By Holly Sutton on 10 Jan 2015
Recipe for a perfect healthcare system
The world doesn’t have a perfect healthcare system, but if it did, these 14 ingredients collected from darling of the NHS grad scheme and jewel of KPMG Mark Britnell is how it would be made up.
Reading off a scrap of notebook paper, Mark shared his recipe whilst perching next to Roy ‘the hit man’ Lilley in a crowded room at the Kings Fund for a Wednesday night #healthchat. The following is destined for a book and no doubt a glossy KPMG booklet that will be waved at us at future events. But for now, it’s much more interesting in its raw form.
1. Funding of the Swiss – who currently contribute 12 per cent of GDP into their healthcare system
Other interesting fact: In a recent healthcare referendum (the Swiss just love to vote) 67 per cent of the population voted not to dumb down quality of care in return for greater efficiencies.
2. Universal care and values of the NHS – UK
According to Mark, who informed us he’s been around the world over 60 times, no-one else has the same affinity to the system that provides their healthcare as the Brits.
3. Primary care system of Israel
In a population of eight million people, four insurers cover everyone and hospital is always a last resort.
My favourite fact of the night: 58 per cent of all GP appointments are carried out by mobile phone in Israel. How does that compare to the UK? That’ll be a big fat zero per cent…
4. Health promotion stats of the Nordics
No more interesting facts to accompany this I’m afraid.
5. Choice of the French
The French are completely agnostic about whether they go public or private for their healthcare. And according to Mark, 35 percent of French public healthcare is provided by the private sector.
Very strong sense of state.
6. The technology of South Korea and Japan
In Japan the very first domiciliary care robots are being used to care for elderly people. This is a very interesting case of demographics driving innovation.
7. Innovation of the USA
8. Flair and speed of India
The Indians are ramping up healthcare provision in ingenious ways, in a country where most of the population is rural and lives on less than a dollar a day.
9. Community services of Brazil
Although healthcare only makes up four percent of GDP, this emerging economy has increased average life span by 19 years in the last decade.
Through a combination of flying in Cuban doctors and developing nursing collectives, Mark says this healthcare economy has a “Che Guevara approach” to driving up national well-being.
10. The carers of Africa
African healthcare systems frequently pay a small community care stipend for people to care for others with TB and AIDS.
11. The diagnostics of Australia
Given Mark spent almost a year in management in Australia, and the healthcare systems of there and New Zealand are so developed, I’m surprised Mark didn’t include more Australasian ingredients in this recipe.
12. Integrated healthcare of Geisinger Health System in Wyoming Valley, USA
13. Quality systems of Virginia Mason Medical Centre in Seattle, Washington USA
A place that according to Mark has: “Steadfast values and holds people to account,” to much muffled mirth about the CQC from Roy Lilley.
14. Care system for the elderly of Japan
Despite the economy stagnating, the Japanese recently decided to contribute an additional 1.2 percent of national income to fund an older care system.
Now for the method, I think we have to wait until September 2015 when Mark promises a book that will bring together his collection of ingredients for a perfect healthcare system and teach us how to pull them all together. Unless Roy nicks his ideas and writes it first, I imagine it will be top of the reading list for our new ministerial healthcare leaders next year.